Hinkle Ch 8 PrepU

A nurse is assessing an elderly client with senile dementia. Which neurotransmitter condition is most likely to contribute to this client's cognitive changes? Decreased norepinephrine level Increased acetylcholine level Decreased acetylcholine level Increased norepinephrine level

Decreased acetylcholine level

Which is an age-related change associated with the cardiovascular system? Decreased cardiac output Increased compliance of heart muscle Decreased blood pressure Thinner heart valves

Decreased cardiac output

Nursing students are reviewing different types of mental health problems in the older adult population. The students demonstrate an understanding of this information when they identify which condition as the most common affective disorder? Schizophrenia Anxiety Phobias Depression

Depression

Which action by the nurse demonstrates ageism? Encouraging the older adult to develop routines not associated with work Allowing adequate time for the older adult to complete tasks Providing the same high quality of care to all clients Directing all health decisions to the older adult's child

Directing all health decisions to the older adult's child

A family of a patient with Alzheimer's disease asks the nurse what causes this condition? Which response by the nurse would be most appropriate? "This condition is most likely due to a stroke that the patient didn't realize he had." "A specific gene is involved in the development of this disorder." "Evidence shows that there are changes in nerve cells and brain chemicals." "The numerous drugs that he was taking contributed to his current confusion." Submit Answer

"Evidence shows that there are changes in nerve cells and brain chemicals."

A client with Alzheimer's disease is prescribed donepezil hydrochloride. When teaching the client and family about this drug, which of the following would the nurse include? "The client need to take this drug for the rest of his or her life." "This drug will help to stop the disease from getting worse." "The drug helps to control the symptoms of the disease." "Once it becomes effective, you can stop the drug."

"The drug helps to control the symptoms of the disease."

A nurse is caring for a client with dementia. A family member of the client asks what the most common cause of dementia is. Which response by the nurse is most appropriate? "The most common cause of dementia in the elderly is Alzheimer's disease." "Depression may manifest as dementia in elderly clients." "Dementia is a terrible disease of the elderly." "Drug interactions are the most common cause of dementia in the elderly."

"The most common cause of dementia in the elderly is Alzheimer's disease."

A client reports to the nurse that her grandmother with Alzheimer's disease recently moved in with her and her two school-aged children. The client states the grandmother becomes agitated and starts yelling and crying frequently. The woman asks, "What can I do?" The nurse first responds: "You need to remain calm during the outbursts." "Start rubbing her shoulders and her back." "What precipitates the outbursts?" "Play quiet music that your grandmother may like."

"What precipitates the outbursts?"

A hospitalized older adult complains of increased coughing and shortness of breath. The nurse assesses the vital signs as temperature 100.2°F oral, respirations 18, pulse 88, and BP 128/80. What action should the nurse do next? Notify the physician. Instruct patient to use incentive spirometer. Assess lung sounds and sputum. Administer cough medicine as needed (PRN).

Assess lung sounds and sputum.

The nurse is working in a long-term care facility. When assessing her patients, what body system dysfunction should the nurse look for as the leading cause of morbidity and mortality in the older adult population? Gastrointestinal Genitourinary Respiratory Cardiovascular

Cardiovascular

A client with Alzheimer disease becomes agitated while the nurse is attempting to take vital signs. What action by the nurse is most appropriate? Distract the client with a familiar object or music. Document the inability to assess vital signs due to client's agitation. Continue taking the vital signs. Place the client in a secluded room until calm.

Distract the client with a familiar object or music.

The plan of care for a patient with advanced Alzheimer's disease includes the nursing diagnosis of risk for injury. The nurse has identified this nursing diagnosis most likely as related to which of the following? Separation from others Personality changes Impaired memory Communication difficulties

Impaired memory

An elderly client is hospitalized for treatment related to leukemia. Family members want to visit with a toddler who has a cold. It would be best for the nurse to Allow the toddler to remain in the room if a family member wipes the toddler's nose. Inform the family to either wash their hands or use the hand sanitizer. Instruct the family to remove the toddler from the room for the protection of the client. Ask the family to leave the client's room.

Instruct the family to remove the toddler from the room for the protection of the client.

An older adult male patient tells the nurse that he wakes several times a night to pass his urine but never feels as though he fully empties his bladder. What suggestion can the nurse make to help control this in the evening? He probably has developed a urinary tract infection and requires an antibiotic. Wear a condom catheter and a leg bag at night. Limit drinking a lot of fluid in the evening, especially caffeinated beverages. Drink several glasses of fluid prior to going to bed in the evening to dilute the urine.

Limit drinking a lot of fluid in the evening, especially caffeinated beverages.

Students are preparing a class presentation on elder abuse. Which of the following would they include as the most common type of elder abuse? Sexual Emotional Neglect Financial

Neglect

The reason that governments carefully regulate treatment given in licensed health care facilities, particularly long-term care facilities, is expressed by which statement? Clients are unable to make any health care decision. Clients lack different perspectives. Older adult clients are vulnerable. Clients lack capacity because of cognitive impairment.

Older adult clients are vulnerable.

A client with moderate Alzheimer's disease has been eating poorly, losing weight, and playing with food at meals. The nurse best intervenes by Converting liquid foods to a gelatin texture Cutting the client's food into small pieces Serving hot foods at a warm temperature Placing one food at a time in front of the client during meals

Placing one food at a time in front of the client during meals

The nurse is attempting to take vital signs of an older adult hospitalized following knee surgery. The client continuously yells, "It's 1999 and you are going to hurt me!" What action should the nurse do first? Reorient the patient. Assess for infection. Notify the physician. Take the vital signs.

Reorient the patient.

When assessing an older adult, the nurse anticipates an increase in which component of respiratory status? Vital capacity Gas exchange and diffusing capacity Residual lung volume Cough efficiency

Residual lung volume

Which neurotransmitter is implicated in depression? Epinephrine Acetylcholine Atropine Serotonin

Serotonin